NUMERO: #20220293

Título: EOSINOPHILIC ULCER MIMICKING FLOOR OF MOUTH SQUAMOUS CELL CARCINOMA

Nome do Apresentador: Vanessa MILANI

Categoria do Trabalho: Trabalhos Aprovados para Disponibilização em Vídeo (ADV)

Área Temática: Patologia Oral

Resumo: A 50-year-old woman sought health care complaining of a growing lesion below the tongue, with approximately 2 months of evolution, compromising speech and swallowing. Non-smoker and non-alcoholic patient, with a history of breast cancer at age 37, with cure outcome, but without periodic follow-up. Clinical examination revealed an ulcerated lesion (± 3cm) with hard edges and a necrotic center, located on the left floor of the mouth and base of the tongue, asymptomatic on palpation. The clinical diagnostic hypothesis was squamous cell carcinoma. Incisional biopsy was performed. Microscopic analysis revealed hyperparakeratinized and hyperplastic squamous epithelium, with an extensive area of ulceration and granulation tissue with intense eosinophilic infiltrate in the submucosa. The final diagnosis was an eosinophilic ulcer. The 15-days follow-up revealed an spontaneously regressing of more than two thrirds of the lesion. Final diagnosis was made through correlation of clinical and microscopic findings, confirming eosinophilic ulcer lesion.

Autor 1:  Vanessa MILANI

E-mail 1:  [email protected]

Autor 2:   Lincoln Lara Cardoso

E-mail 2:  [email protected]

Autor 3 :  Andrezza do Carmo Santos

E-mail 3:  [email protected]

Autor 4:  Filipe Moreira Biokino

E-mail 4:  [email protected]

Autor 5:  Eneida Franco Vêncio

E-mail 5:  [email protected]

Autor 6:  Rejane Faria Ribeiro-Rotta

E-mail 6:  [email protected]